HomeMy WebLinkAboutN2018-0050City of Newport Beach 111111111111111111111111111111111111111111111111� II
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3311
sa Online Inspection Request- www.newportbeachca.gov/Online
Services
Job Address : 415 FULLERTON AVE NB
Description : EA FOR BRICK CARRIAGE WALK AND BRICK MAILBOX PILASTER
Parcel # :
0490-522-8 -
Legal Desc :
FIRST ADD TO NEWPORT HEIGHTS BLK
28 LOT 21
Owner:
GRANGER ROBERT
Phone:
Address :
949-631-2625
415 FULLERTON AVE
Ca
NEWPORT BEACH, CA 92663
001
r
Applicant: MAKI CONTRACTOR SERVICES
Phone: 949-872-8855 [
Address : 10101 CUTTY SARK DR
HUNTINGTON BEACH CA 92646
Thomas:Guide:
Permit No: N2018-00J0
Project No : 1345-27CAN
Inspection Requests Phone (949)644-3255
888J6
Contractor: MAKI CONTRACTOR SERVICES
Phone: 949-872-8855
Address : 10101 CUTTY SARK DR
HUNTINGTON BEACH CA 92646
Contractor State Lic: 970168
License Expire : 02 28, 2018
Business License: BT30047598
Business Expire: 06 30, 2018
Special Cond.: PRE -CONSTRUCTION
MEETING REQUIRED
Workers' Compensation
Insurance - -
Carrier :
EVEREST NATIONAL INS
Policy No:
7600017407171
W. C. Expire:
03 18, 2018
Permit Processing Fee :
$0.00
Sewer Connection :
$0.00
Total Fee :
$982.00
Agreement Fee:
$817.00
4TT Box Cover:
$0.00
Paid :
$982.00
Traffic control Plan Check :
$0.00
Total Water Meters:
$0.00
Balance:
$0.00
Inspection Fee:
$165.00
Water Meter Connection :
$0.00
Receipt No:
Refundable Deposit:
$0.00
Total Water Meter Box:
$0.00
Street Tree Fee :
$0.00
Adjustment :
$0.00
Processed By:
Date : _/ /_
Other Department:
—Date:
Utilities Approval :
Date : _/ /_
Permit Denied
Traffic Approval :
Date
-Date:
: _/_/
Issued Permit :
�r� Dat4x_/
/_3 1 O
General Services Approval :
Date: _/ /
Public Works: Department 949.644.3311
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AM Fees Are Man -Refundable !Unless Otherwise Stated
PROJECT ADDRESS:65
men^
PERMIT N2018- r
NUMBER:
APPLICANT:
Permit Processing Fee: Q Inspection Fee:
Public Works Only $241.00 Public Works Field Inspection $165.00
Other Department $275.00 Utilities Field Inspection $121.00
General Services Inspection $165.00
Agreement Fee: Water Quality/Artificial Turf Inspection $108.00
Preparation of Report/Agreement $817.00
Document Recordation Fee $192.00 Refundable Deposit: TBD
Monitoring Wells $502.00 Improvements TBD
Street/Alley/Walk Closure: $65.000 Newspaper Rack Inspection $108.00
Traffic Control Plan Check
8-1/2" x 11" $65.00 Sewer Connection Fee $250.00
24" x 36" $143.00 4TT Box & Cover $64.00
Additional
THE FOLLOWING ITEMS REQUIRE APPROVAL FROM THE Revenue Diviston
REVENUE DIVISION PRIOR TO PAYMENT OF FEES'; Approval:
OtY- Q
Water Meter: Installation Charge $528.00
3/4" Meter $50.25
I" Meter $121 50 Water Meter Boxes:
1 1/2" Meter $285.00 1" DFW Meter Box $96.66
1 1/2":Turbine Meter $700.00 2" DFW Meter Box $203.24 '
2" Meter $425.00
T Turbine Meter $845.00
3" Meter $3,310.00
4" Meter $4,730.00
En nn.a.... a« ann Mn
Certificate of Compliance Fee (+100% of hrly over 3 hrs)
$288.00
5200-5029
Development Services Fee (Plan check hourly)
$155.00
5200-5015
Final Tract Map Checking Fee
$2,488.00
5200-5026
Final Parcel Map Checking Fee - Moderate
$2,488.00
5200-5027
Lot Line Adjustment Fee
$1,079.00
5200-5028
Park Dedication Fee Zone _
TBD
405-470_
Street Easement/VacationFee (+1o0/eofnrlyover 4hrs)
$1,022.00
5200-5031
Street Tree Fee ($700 Planting Fee)
TBDI
030-2284
Engineering Tech:
Total Amount Due:
For Finance Use only
Permit ecialist
Receipt No.
fdusers/pbw/shared/encroach/masters/ep frant and back masters/
Rev. 12/18/2017
epfeesheetxls-revised 11/8117
2,
3.
TERMS AND CONDITIONS OF ENCROACHMENT PERMIT
Encroachment Permits may be taken out by the owner of benefited property,or a licensed contractor. A licensed
contractor must provide a "Letter of Authorization' to allow another party to pull a permit. An approved copy of the
permit and construction plan shall be kept at the job site at all times. Work, which has been done prior to issuance of
a permit, is subject to rejection/fine. City reserves the right to void permit if work does not commence within 30 days
after date of issuance.
The Permittee agrees to defend, indemnify and hold the City, its authorized agent, officers, representatives and
employees harmless from any responsibility, liability, suit or action of any description arising out of any accident, loss
or damage to persons or property occurring as a result of work undertaken under this permit.
All work shall be done in accordance with the approved plans, Standard Special Provisions and Standard Drawings
of the City of Newport Beach, and in compliance with all applicable State laws and City ordinances.
Permittee guarantees all work performed under this permit to be free of hidden and latent defects. Any failures shall
be corrected within two weeks after notification to the satisfaction of the Public Works Director.
A valid State licensed contractor must perform all construction within the public right -or -way, unless waived by the
Public Works Director. A valid State Contractor License Class A can perform any work in the public right-of-way. For
construction or connection to water lines a valid State Contractor License ClassC-34 is required. For construction or
connection to sewer lines a valid State Contractor License Class C-42 is required.
All trenching and/or resurfacing shall conform to City Standard 105-L for parkway/roadway and City Standard 140-L,
in the alley, where a minimum half -alley width resurfacing shall be provided, unless otherwise directed by the Public
Works Dept. Contractors shall obtain permits to perform excavation or trench work from the California Division of
Industrial Safety prior to commencing underground construction as required by State law. Walls and faces of all
excavations over 5 feet in depth shall be protected by ashoring system, sloping of the ground, or other equivalent
means. Trenches less than 5 feet in depth shall be guarded when hazardous ground movement may be expected.
The Public Works Department Inspectors must inspect all work in the Public right-of-way. Forms and subgrade must
be inspected and approved before concrete is ordered/poured. Sewer, pipelines, and subgrade construction must be
inspected and approved before backfilling, or applicant may be required to excavate site. Separate Utilities
Department or General Services Department inspections may be required depending on scope of work performed.
All trench restoration must be inspected by the Public Works Department. No utility installation(s) shall be allowed
over or within 5 feet of any City utilities, unless approved by the Public Works Department. Locate and pothole
existing City -owned utilities (le: water, sewer, or street lighting conduits) to verify locations. Maintain a one -foot
clearance over or under existing City -owned utilities. Sewer cleanouts require VCP or PVC SDR35 be used with a
4TT box over the riser.
Properly lighted barricades must be provided and maintained around all trenches, excavations and obstructions. All
signs, Flags, lights and other warning and safety devices shall conform to the requirements of the current "Manual of
Warning Signs, Sights and Other Devices for the Use in Performance of Work Upon Highways", issued by the
California Department of Transportation. If needed, barricades can be obtained from the City at a charge of $10.00
per barricade per day, with a minimum charge of $35.00. It is the responsibility of the applicant to place barricades to
protect the general public. Access to fire hydrants must be maintained at all times.
Work within or near beach sensitive areas will not be allowed during, City holidays, spring break, Memorial Day
weekend, summer between June 15 and September 15, and during the holiday season from December 19 to
January 1, unless approved by the Public Works Department.
Any work that extends into traffic or parking lanes and impedes the normal flow of traffic requires the applicant to
acquire a Temporary Street Closure Permit from-the.Public Works Department. Access for fire, police and
emergency vehicles must be maintained at all times. Traffic Control must be per Work Area Traffic Control
Handbook (WATCH). No nighttime traffic lane closures, unless prior approval has been granted. Any lanes) closure
on a major street will only be allowed between 9:00 a.m. and 3:00 p.m. (Monday thru Friday), unless approved by
the Public Works Department. Any work affecting the State Highway's traffic or within the State Highway right-of-way
will require a Caltrans Permit. All vehicles shall be lawfully parked.
This permit does not authorize the closure of sidewalks, streets, or alleys for construction access, storage of
materials, or parking of construction vehicles unless detailed on an attached Temporary Street Closure.
Applicant must notify USA at 1.800-227.2600 2 days before starting any underground construction. Applicant
must notify all affected residents 24 hours in advance of restricted access and any inconveniences.
Refuse or unused materials shall be removed within 24 hours after completion of the work. If not removed, the City
may remove and bill the applicant. Coordinate alley closures with City's refuse pick-up daysby calling 949-644-3066
for the collection schedule so service is not interrupted. To place a dumpster or materials in the public right-of-way, a
Temporary Street Closure Permit must be obtained from the Public Works Department.
WORKER'S COMPENSATION INSURANCE (Section 3800 Labor Code)
I certify that I have a Certificate of consent to self -insure, Certificate of Worker's
Compe a' Insur7 1,0
aCertified Copy tit re
Da t _ I V Signature:'\W�'�/
Tc W
CERTIFICATE OF EXEMPTION (Section 3800 Labor Code)
I certify that in the performance of the work under this permit, I shall not employ
any person so as to become subject to California Worker's Compensation Laws. If,
after signing this certificate I become subject to the Worker's Compensation
provisions of the State Labor Cade, I must comply with the provisions of Section
3700 or this permit shall be deemed revoked.
Date: Signature:
CONTRACTOR LICENSE EXEMPTION
As the Owner of the benefiting property, I certify I am personally performing all
work in the Public Right -of -Way.
Date: Signature:
HOLD HARMLESS STATEMENT
I understand that I am locating minor encroachments within the City Right-of-
Way/Easement. As property owner it is my responsibility to maintain the
encroachments. I will be responsible for replacing the improvements if the City
removes them for maintenance of utilities or other public need. I shall indemnify
and hold the City harmless for any liability associated with the minor
encroachments.
Date: Signature:
24-hour notice for Encroachme t P it I spection 1 requi d by calling
Public Works at 949-6443311
15. Any above ground utility facilities will require documented approval from the adjacent
affected property owner(s).
16. Homeowner, contractors, and subcontmcotrs may each be liable for violations of Water
Quality Laws. Best Management Practices will be enforced. It is against the law to
discharge construction debris into the gutter and storm drain. Felony violations of Water
Quality Laws are punishable by fines up to $25,000 and/or up to three years in State
prison plus the full cost to clean up: an illegal discharge or spill.
17, If a refundable deposit was paid, applicant must submit a Soils Compaction
Certificate or Evidence of a Slurried Backfill and request a final inspection from the
Public Works Department. Monies may be held for six months after final inspection
before a refund will be processed.
18. No trees in the public right-of-way shall be planted, removed, trimmed, or relocated
without approval from the General Services Department.
19. All work in the public right-of-way must meet the approval of the Public Works
Department or corrections will be required (i.e. removals, exposing connections,
etc.). Additional inspection fees may be required.
20. Permit is for standard materials in the public right-of-way only, unless previously
approved by Public Works and an Encroachment Agreement has been processed.
21. Permit is valid for "description' of work noted on fr t only. Additional work
performed may require issuance of a separate permit ancHor additional fees.
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AN ENCROAC ENT AveREEMFNT
15 REQUIRED FOR ALL NON-STANDARD
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RECORDING REQUESTED BY,
AND WHEN RECORDED MAIL TO:
LAW OFFICES OF RICHARD R. HOLTZ
and Associates
9928 E. Flower Street, Suite 103
Bellflower, CA 90706-5453
RECORDING REQUESTED BY
A & M ATTORNEY SERVICE
D006 # 5' 146 ��'Q/
07—APR-1995 01:46 PK
Recorded in Official Records
Of Orange COunty: California
Gary L. Granville. Cierl. Retarder
?age 1 of 1 Fees: € 5.00
Tax: $ 0.00
MAIL TAX STATEMENTS TO: SPACE ABOVE THIS LINE FOR RECORDER'S USE
ROBERT GRANGER & MARY GRANGER, TRUSTEES DOCUMENTARY TRANSFER TAX S .....-0— . NONE
................................
415 Fullerton *NO TAX DUE/TRANSFER FROM INDIVIDUAL TO TRUST
Newport Beach, CA 92660 R&T CODES 62d & 11923d
RIc=HAKIinR.re HOL��G Or 't mir�In_pt F.m Name
APN 049-052-28
R OLTZ 6 Assoc -
GRANT DEED
FOR NO CONSIDERATION
ROBERT M. GRANGER and MARY E. GRANGER
hereby GRANT(S)to ROBERT GRANGER AND MARY GRANGER, TRUSTEES OF THE GRANGER FAMILY TRUST
DATED MARCH 29, 1995
the real property in the City of NEWPORT BEACH
County of ORANGE , State of California, described as
Lot 21 Block 28 First Addition to Newport Heights as per map recorded in Book 4 Page 94 of
Miscellaneous Maps, records of said County.
Subject to covenants, conditions, restrictions, reservations, easements and rights of way
of record, if any.
Commonly known as: 415 Fullerton
Newport Beach CA
*CONVEYANCE TRANSFERRING GRANTOR(S) INTEREST INTO A RHV VING T ST, R&T 11911
Dated MARCH 29, 1995 VP
} BERT M. GRANGE
STATE OF CALIFORNIA. }ss
COUNTY OF LOS ANGELES }
On MARCH 29, 1995 before me.
NANCY A.HARDING
personally appeared
ROBERT M. GRANGER & MARY E. GRANGER
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that heishenhey executed the same
in his/hertheir authorized capacvy(les). and that by hisiher/their signa-
ture(s) on the instrument the person(s) or the entity upon behalf of which
the persons) acted. executea the instrument.
NANCY A. HARDING
COMM. # 7024700 y
Notary Public - Californfo m
"_
r
LOS ANGELES COUNTY
MY COMMISSION
EXPIRES AUGUST 25, 1999
WITNESS my hand ano official seal.
Signature a .�,� C.-� !This area for official notarial Saar
MAIL TAX OATEMENTS .AS DIRECTED ABOVE
I
DECLARATION OF TRUST
GRANGER FAMILY TRUST
THIS DECLARATION OF TRUST, dated MARCH 29, 1995 , by
and between ROBERT GRANGER aka ROBERT M. GRANGER aka ROBERT MICHEL
GRANGER and MARY GRANGER aka MARY E. GRANGER aka MARY ELLEN GRANGER,
husband and wife, who reside in the County of Orange, State of
California, hereinafter referred to as "Trustors", and ROBERT GRANGER
aka ROBERT M. GRANGER aka ROBERT MICHEL GRANGER aka MARY GRANGER aka
MARY E. GRANGER aka MARY ELLEN GRANGER, hereinafter referred to as
"Trustee":
W I T_N E S S E T H:
ARTICLE 1: NAME OF TRUST
The Trust created by this Declaration of Trust shall be
referred to as the GRANGER FAMILY TRUST DATED MARCH 29, 1995 ,
and is effective on the date it is executed by the Trustors.
ARTICLE 2: TRUSTORS
The Trustors are husband and wife. The Trusters have three (3)
children, all adults, namely: their daughter MICHELE RENE ANDERSON,
their daughter DENISE SHAWN CULVER, and their son ROBERT FRANCIS
GRANGER.
DECLARATION OF TRUST, GRANGER FAMILY TRUST
Page 1 of 41 Pages
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
On MARCH 29 1995
before me, NANCY A.
Notary Public a
in and for said State HARDING
GRANGER aka ROBERT M, personally appeared ROBERT
GRANGER aka ROBERT MICHEL GRANGER and MARy
GRANGER aka Mp,Ry E.
GRANGER aka MARY ELLEN GRANGER, personally known
to me to be the
Persons instrument, and acknowledge g whose names are subscribed to the within
that they executed the same in their
authorized capacities
and that by their signatures on the instrument
the persons or the entity upon behalf of which the persons acted,
executed the instrument.
WITNESS my hand and official seal. NANCY A. HARDING
W e COMM. # 1024700
< �.}. ° Notary Public - California v
L OS ANGELES COUNTY
NA CY MY COMMISSION EXPIRES AUGUST 25, 199a
p
A- HARDING
DECLARATION OF TRUST, GRANGER FAMILY TRUST
Page 41 0£ 41 Pages
ARTICLE 13: SIGNATURE AND EXECUTION
IN WITNESS WHEREOF, the Trustors and Trustees have executed
this DECLARATION OF TRUST the day and year first above written.
We, as Trustors of the Trusts created by this Declaration of
Trust, certify that we have read the foregoing Declaration of Trust
and that it correctly states the terms and conditions under which the
Trust Estate is to be held, administered, and distributed. We approve
this Declaration of Trust in all particulars, and agree to be bound by
its terms and conditions.
ROBERT GRANGER aka
ROBERT M. GRANGER aka
ROBERT MICHEL GRANGER
Trustor (Husband)
,Husband's SS# 560-38-6101
APPROVED:
I R. HO Z
Attorney for Trustors
R GRP,NGE aka
ItY E. GRANGER aka
MARY ELLEN GRANGER
Trustor (Wife)
Wife's SS# 564-50-1859
We, as Trustees, agree to be bound by the terms and conditions
of this Declaration of Trust.
ERT GRANGER aka
ROBERT M. GRANGER ak
ROBERT MICHEL GRANGER
Trustee
M,ARy GRANGER' aka
MARY E. GRANGER aka
MARY ELLEN GRANGER
Trustee
DECLARATION OF TRUST, GRANGER FAMILY TRUST
Page 40 of 41 Pages
I
2/2/2018
6:2*4ZAM
City Of Newport Beach Page 7 of 12
K INSP150 - Daily Inspection Request Report
Requested Inspection Date: 02/02/2018
Inspection Type: ENCROACH
Inspection Area : PW'
Site Address : 415FULLERTON AVE.
Activity :
N2018-0050
SubType:
NEW
Status :
APPROVED -
OWNER :
APPLICANT:
GRANGER ROBERT Phone: 949-631-2625
MAKI CONTRACTOR SERVICES Phone: 949-872-8855
Description :
makico ntractorservices@gm:
EA FOR BRICK CARRIAGE WALK AND BRICK MAILBOX PILASTER
Item:
10250 FINAL -PW
Requested Time:
2/2/2018 12:00:OOAM Requestor:, WEBUSER
Entered By:
WEBUSER 949-872-8855
Comments:
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Inspector:
Date: 2 hod Time: AM PM
Comments:
API ETED
CO
F:\Users\PBMShared\ENCROACH\MASTERS\FORMS\InspectorSheet.doe